In the present study, the therapeutic effect of penetration needling was observed in 120 cases facial paralysis patients and compared with that of the routine needling in another 105 cases. Results showed that though ...In the present study, the therapeutic effect of penetration needling was observed in 120 cases facial paralysis patients and compared with that of the routine needling in another 105 cases. Results showed that though no significant difference was found between these two groups in the therapeutic effect, the acupoints used were fewer in penetration needling group and its effect on tear and posterior auricular pain was superior to that of routine needling.展开更多
Objective：To observe the clinical effects of half puncture plus transcutaneous acupoint electric stimulation in the treatment of infantile facial paralysis. Methods：A total of 60 patients with infantile facial paral...Objective：To observe the clinical effects of half puncture plus transcutaneous acupoint electric stimulation in the treatment of infantile facial paralysis. Methods：A total of 60 patients with infantile facial paralysis were divided into a treatment group and a control group by the random digital table, 30 cases in each group. The treatment group was treated with half puncture plus transcutaneous acupoint electric stimulation. The control group was treated with routine acupuncture. Before and after treatment, House-Brackmann （H-B） grading was used to evaluate the sick children respectively. The total effective rates were compared between the two groups after treatment. Results：After 6-course treatments, the total effective rate was 96.5% in the treatment group and 80.0% in the control group, there was a statistical difference between the two groups （P〈0.05） in comparison of the total effective rate. After 6-course treatments, H-B scores were all elevated than those before treatment in the two groups （P〈0.05）; there was a statistical difference between the two groups （P〈0.05）. Conclusion：Half puncture plus transcutaneous acupoint electric stimulation is better than routine acupuncture in curative effect for infantile facial paralysis.展开更多
Objective:To observe the clinical effect of acupoint sticking therapy with Mian Tan Gao(facial paralysis paste)plus electroacupuncture(EA)for treating peripheral facial paralysis and its influence on patients'faci...Objective:To observe the clinical effect of acupoint sticking therapy with Mian Tan Gao(facial paralysis paste)plus electroacupuncture(EA)for treating peripheral facial paralysis and its influence on patients'facial nerve functions,facial disability index and clinical symptoms and signs.Methods:A total of 96 peripheral facial paralysis patients were allocated into an observation group,a medicine group and an EA group by simple randomization,with 32 cases in each group.Patients in the medicine group were treated with oral mecobalamine and prednisone acetate;patients in the EA group were treated with EA on the basis of the medicine treatment;while patients in the observation group were treated with acupoint sticking therapy with Mian Tan Gao(facial paralysis paste)plus EA.After 4-week treatment,the clinical efficacy,the adverse events,and the scores of House-Brackmann(H-B)facial nerve function grading scale,visual analog scale(VAS),clinical symptoms and signs,and facial disability index(FDI)were compared.Results:After 4-week treatment,the total effective rate was 96.9%in the observation group,higher than 68.7%in the medicine group and 75.0%in the EA group(both P<0.05).After 4-week treatment,the scores of H-B grading scale,VAS and clinical symptoms and signs in the three groups dropped significantly compared with those before treatment,and the scores in the observation group were lower than those in the medicine group and EA group(all P<0.05).After 4-week treatment,the facial disability index-physical function(FDIP)in the FDI in the three groups increased significantly,with a higher value in the observation group compared with that in the medicine group and EA group(both P<0.05).The facial disability index-social function(FDIS)in the FDI dropped significantly,with a lower score in the observation group compared with that in the medicine group and EA group(both P<0.05).However,the comparisons of the items above between the medicine group and the EA group showed no statistical significance(all P>0.05).The between-group comparison of the adverse event across the three groups showed no statistical significance(P>0.05).Conclusion:Acupoint sticking therapy with Mian Tan Gao(facial paralysis paste)plus EA can decrease H-B grade,reduce pain severity and improve clinical symptoms and signs as well as the facial disability condition in peripheral facial paralysis patients.This method produced more significant efficacy compared with oral medicine and medicine plus EA.展开更多
Objective:To explore the therapeutic effect of acupoint catgut embedding combined with gingerseparated moxibustion for sequelae of peripheral facial paralysis and whether surface electromyography(sEMG)can be an outcom...Objective:To explore the therapeutic effect of acupoint catgut embedding combined with gingerseparated moxibustion for sequelae of peripheral facial paralysis and whether surface electromyography(sEMG)can be an outcome to evaluate the effect of this disease.Methods:Thirty-five patients with sequelae of peripheral facial paralysis were treated with catgut embedding at the acupoints selected according to their individual symptoms and traditional Chinese medicine(TCM)differentiated syndromes.At the same time,the ginger-separated moxibustion was applied at Yifeng(翳风TE17)and Qianzheng(牵正EX-HN16)of the affected side.The catgut embedding was applied once every 15 days,one time of treatment is of one course,and a total of three courses were given.The moxibustion would be taken after 5 days of catgut embedding each time,once every other day,5 times as one course,a total of 3 courses are given.After treatment,the recovery of facial nerve functions was evaluated by House-Brackmann(H-B)facial nerve function evaluation grading system.Before and after treatment,the surface electromyography(sEMG)was used to detect the root-mean-square(RMS)of frontal muscles,cheek muscles,and orbicularis oris muscles to compare the RMS ratio of these muscles of affected side and healthy side.Results:After 3 courses of treatment,9 cases were cured,22 cases were effective,and 4 cases were ineffective.The total effective rate was 88.6%(31/35).After treatment,the RMS of frontal muscles,cheek muscles,and orbicularis oris muscles of the affected side were 31.56±4.25,34.13±4.28,and 7.46±1.53 respectively,significantly increased in comparing with 11.69±2.45,12.98±3.34,and 2.62±1.41 respectively before treatment(all P<0.05).After treatment,the RMS ratios of frontal muscles,cheek muscles,and orbicularis oris muscles of the affected side and healthy side were 0.73±0.09,0.71±0.11,and 0.68±0.08 respectively,greatly increased in comparing with 0.28±0.10,0.27±0.08,and 0.22±0.09 respectively before treatment(all P<0.05).Conclusion:Acupoint catgut embedding and ginger-separated moxibustion in combination can significantly improve the facial nerve functions,and sEMG used for evaluating the therapeutic effect can objectively reflect the effect of treatment.展开更多
Objective To explore the best therapeutic method in the treatment of peripheral facial paralysis. Methods One hundred and twenty cases were randomized into a conventional acupuncture group [Yangbai （阳白 GB 24）, Sib...Objective To explore the best therapeutic method in the treatment of peripheral facial paralysis. Methods One hundred and twenty cases were randomized into a conventional acupuncture group [Yangbai （阳白 GB 24）, Sibai （四白 ST 2）, Yingxiang （迎香 LI 20）, etc.], a Renying （人迎ST 9） acupuncture group and an operation ＋ acupuncture group [acupuncture at ST 9 as the main acupoint and the stellate ganglion block （SGB）], 40 cases in each one. The treatment was given once a day, 7 treatments made one session. After 3 sessions of treatment, the latency and the amplitude of the direct stimulation evoked potential of the facial nerve （ENoG） were compared before and after treatment in three groups, as well as R2 and R2 values of blink reflex （BR）. The total clinical efficacy was assessed. Results The latency of ENoG was shortened and the amplitude was increased significantly in three groups. After treatment, ENoG latency was lower significantly in the operation ＋ acupuncture group as compared with that in the conventional acupuncture group （P〈0.05）. In the Renying （人迎 ST 9） acupuncture group, the amplitude of ENoG was increased as compared with P〈0.05）. After treatment in three groups, those in the other two groups （all R2 and R2 values were decreased significantly. The differences in R1 and R2 values in the Renying （人迎 ST 9） acupuncture group and the operation ＋ acupuncture group before and after treatment were bigger than those in the conventional acupuncture group （all P〈0.05）, and the difference in R2 value in the operation ＋ acupuncture group was bigger than that in the Renying （人迎 ST 9） acupuncture group （P〈O.05）. The clinical markedly effective and curative rate was 87.5% （35/40） in the operation ＋ acupuncture group, which was superior to 77.5% （32/40） in the Renying （）人迎 ST 9）acupuncture group and higher significantly than 65.0% （26/40） in the conventional acupuncture group （P〈0.05）. Conclusion Compared with the conventional acupuncture, the efficacy on peripheral facial paralysis is much better in the Renying （人迎 ST 9） acupuncture group and the operation ＋ acupuncture group. Moreover, the early reflex function of the damaged facial nerve is much better recovered in the operation ＋ acupuncture group as compared with that in the Renying （人迎 ST 9） acupuncture group.展开更多
文摘In the present study, the therapeutic effect of penetration needling was observed in 120 cases facial paralysis patients and compared with that of the routine needling in another 105 cases. Results showed that though no significant difference was found between these two groups in the therapeutic effect, the acupoints used were fewer in penetration needling group and its effect on tear and posterior auricular pain was superior to that of routine needling.
文摘Objective：To observe the clinical effects of half puncture plus transcutaneous acupoint electric stimulation in the treatment of infantile facial paralysis. Methods：A total of 60 patients with infantile facial paralysis were divided into a treatment group and a control group by the random digital table, 30 cases in each group. The treatment group was treated with half puncture plus transcutaneous acupoint electric stimulation. The control group was treated with routine acupuncture. Before and after treatment, House-Brackmann （H-B） grading was used to evaluate the sick children respectively. The total effective rates were compared between the two groups after treatment. Results：After 6-course treatments, the total effective rate was 96.5% in the treatment group and 80.0% in the control group, there was a statistical difference between the two groups （P〈0.05） in comparison of the total effective rate. After 6-course treatments, H-B scores were all elevated than those before treatment in the two groups （P〈0.05）; there was a statistical difference between the two groups （P〈0.05）. Conclusion：Half puncture plus transcutaneous acupoint electric stimulation is better than routine acupuncture in curative effect for infantile facial paralysis.
文摘Objective:To observe the clinical effect of acupoint sticking therapy with Mian Tan Gao(facial paralysis paste)plus electroacupuncture(EA)for treating peripheral facial paralysis and its influence on patients'facial nerve functions,facial disability index and clinical symptoms and signs.Methods:A total of 96 peripheral facial paralysis patients were allocated into an observation group,a medicine group and an EA group by simple randomization,with 32 cases in each group.Patients in the medicine group were treated with oral mecobalamine and prednisone acetate;patients in the EA group were treated with EA on the basis of the medicine treatment;while patients in the observation group were treated with acupoint sticking therapy with Mian Tan Gao(facial paralysis paste)plus EA.After 4-week treatment,the clinical efficacy,the adverse events,and the scores of House-Brackmann(H-B)facial nerve function grading scale,visual analog scale(VAS),clinical symptoms and signs,and facial disability index(FDI)were compared.Results:After 4-week treatment,the total effective rate was 96.9%in the observation group,higher than 68.7%in the medicine group and 75.0%in the EA group(both P<0.05).After 4-week treatment,the scores of H-B grading scale,VAS and clinical symptoms and signs in the three groups dropped significantly compared with those before treatment,and the scores in the observation group were lower than those in the medicine group and EA group(all P<0.05).After 4-week treatment,the facial disability index-physical function(FDIP)in the FDI in the three groups increased significantly,with a higher value in the observation group compared with that in the medicine group and EA group(both P<0.05).The facial disability index-social function(FDIS)in the FDI dropped significantly,with a lower score in the observation group compared with that in the medicine group and EA group(both P<0.05).However,the comparisons of the items above between the medicine group and the EA group showed no statistical significance(all P>0.05).The between-group comparison of the adverse event across the three groups showed no statistical significance(P>0.05).Conclusion:Acupoint sticking therapy with Mian Tan Gao(facial paralysis paste)plus EA can decrease H-B grade,reduce pain severity and improve clinical symptoms and signs as well as the facial disability condition in peripheral facial paralysis patients.This method produced more significant efficacy compared with oral medicine and medicine plus EA.
文摘Objective:To explore the therapeutic effect of acupoint catgut embedding combined with gingerseparated moxibustion for sequelae of peripheral facial paralysis and whether surface electromyography(sEMG)can be an outcome to evaluate the effect of this disease.Methods:Thirty-five patients with sequelae of peripheral facial paralysis were treated with catgut embedding at the acupoints selected according to their individual symptoms and traditional Chinese medicine(TCM)differentiated syndromes.At the same time,the ginger-separated moxibustion was applied at Yifeng(翳风TE17)and Qianzheng(牵正EX-HN16)of the affected side.The catgut embedding was applied once every 15 days,one time of treatment is of one course,and a total of three courses were given.The moxibustion would be taken after 5 days of catgut embedding each time,once every other day,5 times as one course,a total of 3 courses are given.After treatment,the recovery of facial nerve functions was evaluated by House-Brackmann(H-B)facial nerve function evaluation grading system.Before and after treatment,the surface electromyography(sEMG)was used to detect the root-mean-square(RMS)of frontal muscles,cheek muscles,and orbicularis oris muscles to compare the RMS ratio of these muscles of affected side and healthy side.Results:After 3 courses of treatment,9 cases were cured,22 cases were effective,and 4 cases were ineffective.The total effective rate was 88.6%(31/35).After treatment,the RMS of frontal muscles,cheek muscles,and orbicularis oris muscles of the affected side were 31.56±4.25,34.13±4.28,and 7.46±1.53 respectively,significantly increased in comparing with 11.69±2.45,12.98±3.34,and 2.62±1.41 respectively before treatment(all P<0.05).After treatment,the RMS ratios of frontal muscles,cheek muscles,and orbicularis oris muscles of the affected side and healthy side were 0.73±0.09,0.71±0.11,and 0.68±0.08 respectively,greatly increased in comparing with 0.28±0.10,0.27±0.08,and 0.22±0.09 respectively before treatment(all P<0.05).Conclusion:Acupoint catgut embedding and ginger-separated moxibustion in combination can significantly improve the facial nerve functions,and sEMG used for evaluating the therapeutic effect can objectively reflect the effect of treatment.
基金Supported by Project of Science and Technology Bureau,Yichang,Hubei:A:01301-46
文摘Objective To explore the best therapeutic method in the treatment of peripheral facial paralysis. Methods One hundred and twenty cases were randomized into a conventional acupuncture group [Yangbai （阳白 GB 24）, Sibai （四白 ST 2）, Yingxiang （迎香 LI 20）, etc.], a Renying （人迎ST 9） acupuncture group and an operation ＋ acupuncture group [acupuncture at ST 9 as the main acupoint and the stellate ganglion block （SGB）], 40 cases in each one. The treatment was given once a day, 7 treatments made one session. After 3 sessions of treatment, the latency and the amplitude of the direct stimulation evoked potential of the facial nerve （ENoG） were compared before and after treatment in three groups, as well as R2 and R2 values of blink reflex （BR）. The total clinical efficacy was assessed. Results The latency of ENoG was shortened and the amplitude was increased significantly in three groups. After treatment, ENoG latency was lower significantly in the operation ＋ acupuncture group as compared with that in the conventional acupuncture group （P〈0.05）. In the Renying （人迎 ST 9） acupuncture group, the amplitude of ENoG was increased as compared with P〈0.05）. After treatment in three groups, those in the other two groups （all R2 and R2 values were decreased significantly. The differences in R1 and R2 values in the Renying （人迎 ST 9） acupuncture group and the operation ＋ acupuncture group before and after treatment were bigger than those in the conventional acupuncture group （all P〈0.05）, and the difference in R2 value in the operation ＋ acupuncture group was bigger than that in the Renying （人迎 ST 9） acupuncture group （P〈O.05）. The clinical markedly effective and curative rate was 87.5% （35/40） in the operation ＋ acupuncture group, which was superior to 77.5% （32/40） in the Renying （）人迎 ST 9）acupuncture group and higher significantly than 65.0% （26/40） in the conventional acupuncture group （P〈0.05）. Conclusion Compared with the conventional acupuncture, the efficacy on peripheral facial paralysis is much better in the Renying （人迎 ST 9） acupuncture group and the operation ＋ acupuncture group. Moreover, the early reflex function of the damaged facial nerve is much better recovered in the operation ＋ acupuncture group as compared with that in the Renying （人迎 ST 9） acupuncture group.
